Nose & paranasal sinuses

Question 1

Acute Sinusitis- Eti

Answer 1

manifestation in any sinus following URI- maxillary most common

Question 2

Acute Sinusitis- Sx

Answer 2

localized sinus pain, pressure, drainage & congestion

Question 3

Acute Sinusitis-Dx

Answer 3

Often viral- Viral resolves 10 days

Question 4

Acute Sinusitis- Tx

Answer 4

decongestants, saline lavage

Question 5

Chronic Sinusitis- Eti

Answer 5

sinusitis > 12 weeks- typically bacterial or fungal in nature

Question 6

Chronic Sinusitis- Tx & Dx

Answer 6

culture specimen and guide abx to specific organism

Question 7

Rhinocerebral Mucomycosis- Eti

Answer 7

fungal infection, highly invasive and progressive. Most common in DM or pts with suppressed phagocyte function

Question 8

Rhinocerebral Mucomycosis- Sx

Answer 8

facial/ eye pain, numbness, soft tissue swelling, blurry vision, conjunctival suffusion

Question 9

Rhinocerebral Mucomycosis- Dx

Answer 9

Needle aspirate from typically sterile part of body

Question 10

Rhinocerebral Mucomycosis- Tx

Answer 10

4 steps- ID early, resolve underlying risk if possible, surgical debridement, prompt anti fungal tx- amphotericin

Question 11

Nasal vestibulitis- Eti

Answer 11

Nasal colonization of S aureus- break in mucosal membrane

Question 12

Nasal vestibulitis- Sx

Answer 12

Inflammation of nasal vestibule, often asymptomatic

Question 13

Nasal vestibulitis- Dx

Answer 13

nasal swab & pcr

Question 14

Nasal vestibulitis- Tx

Answer 14

systemic & topical abx

Question 15

Nasal foreign body

Answer 15

unilateral, foul smelling discharge, rhinorrhea or bleeding. Common in children- remove body through positive pressure or forceps